Active NPI
Mary E Dumouchelle, MS, RN, FNP-BC
- Family Nurse Practitioner
- Athens, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12422-NP
- Practice address
- 55 Hospital Dr
Athens, OH 45701-2302 - Phone
- (740) 566-4828
- NPI assigned
- Sep 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 311545 | OH | |
| Family Nurse Practitioner | 363LF0000X | 12422-NP | OH | Primary |
Addresses
Primary practice location
55 Hospital Dr
Athens, OH 45701-2302
Mailing address
75 Hospital Dr
Ste 300
Athens, OH 45701-2860
Phone (740) 566-4644
Other names 1
- Mary E Buffenbarger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-1461
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311545 | OH | MD | Registered Nurse |
| 12422-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of Ohio, LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Richland County, LTD | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp | Current | Accepting new patients | |
| Riverside Radiology and Interventional Associates Inc | Past | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
75 Hospital Dr
Ste 310
Athens, OH 45701
Phone (740) 594-6100
55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349
75 Hospital Dr
Ste 260
Athens, OH 45701
Phone (740) 594-8819
75 Hospital Dr
Ste 300
Athens, OH 45701
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358
3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1043805690
-
- Internal Medicine Physician
- Chillicothe, OH
- NPI 1861038069
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
dba OhioHealth Physician Group, Inc
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
dba OhioHealth Physician Group Inc
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health - West Hospital
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1912007931
-
dba Mercy Health - West Hospital
- Clinical Medical Laboratory
- Cincinnati, OH
- NPI 1982728036
Hospital
-
dba Mercy Health - Kings Mills Hospital
- General Acute Care Hospital
- Mason, OH
- NPI 1790469146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1568744753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 HOSPITAL DR",
"address_2": "STE 300",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012860",
"telephone_number": "740-566-4644",
"fax_number": "740-566-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HOSPITAL DR",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012302",
"telephone_number": "740-566-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMOUCHELLE",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "MS, RN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "311545",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "12422-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "BUFFENBARGER",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.